Yang Chunyu, Zhou You, Xia Mengfan
College of Law and Political Science, Nanjing University of Information Science and Technology, Nanjing, China.
School of Social and Behavioral Sciences, Nanjing University, Nanjing, China.
Front Psychiatry. 2020 Dec 3;11:588968. doi: 10.3389/fpsyt.2020.588968. eCollection 2020.
The existing studies found that resilience is a salient trait that can significantly affect people's psychological well-being with substance use disorders (SUDs). However, few studies examined how the mechanisms are connected between resilience and mental health among patients with Diagnostic and Statistical Manual of Mental Disorders-fifth edition SUD. This study investigated the mediation effects of positive affect, perceived social support, and self-esteem on the effect of resilience on perceived stress and life satisfaction in SUD patients. A total of 415 patients diagnosed with Diagnostic and Statistical Manual of Mental Disorders-fifth edition SUD from the south of China joined the research. The study applied Connor-Davidson Resilience Scale, Positive and Negative Affect Scale, Multidimensional Scale of Perceived Social Support, Rosenberg Self-Esteem Scale, and Satisfaction with Life Scale to measure patients' resilience, positive affect, self-esteem, perceived social support, perceived stress, and life satisfaction. Structural equation model analysis revealed that positive affect and self-esteem partially mediate the relationship between resilience and perceived stress. In contrast, positive affect and perceived social support partially mediate the relationship between resilience and life satisfaction. The findings provide insights for evidence-based substance abuse intervention that positive affect, self-esteem, and perceived social support can conditional the effects of resilience on promoting the mental health of SUD patients.
现有研究发现，心理韧性是一种显著的特质，会对患有物质使用障碍（SUDs）的人的心理健康产生重大影响。然而，很少有研究探讨《精神疾病诊断与统计手册》第五版中患有物质使用障碍的患者的心理韧性与心理健康之间的机制联系。本研究调查了积极情绪、感知到的社会支持和自尊在心理韧性对物质使用障碍患者感知压力和生活满意度的影响中的中介作用。共有415名来自中国南方、被诊断为患有《精神疾病诊断与统计手册》第五版物质使用障碍的患者参与了这项研究。该研究应用了康纳-戴维森心理韧性量表、正负性情绪量表、感知社会支持多维量表、罗森伯格自尊量表和生活满意度量表来测量患者的心理韧性、积极情绪、自尊、感知到的社会支持、感知压力和生活满意度。结构方程模型分析表明，积极情绪和自尊部分中介了心理韧性与感知压力之间的关系。相比之下，积极情绪和感知到的社会支持部分中介了心理韧性与生活满意度之间的关系。这些发现为基于证据的物质滥用干预提供了见解，即积极情绪、自尊和感知到的社会支持可以调节心理韧性对促进物质使用障碍患者心理健康的影响。
